The nurse is assessing the client, and anticipates which of the ...

[swpotter12]

The nurse is assessing the client, and anticipates which of the following as early signs of meningitis? Select all that apply. Standard Text: Select all that apply.
 
  1. Chills
  2. Seizures and paralysis
  3. Nuchal rigidity
  4. Positive Kernig's sign
  5. Negative Brudzinski sign

Question 2

Nursing interventions appropriate for the client with the nursing diagnosis Imbalanced Nutrition: Less than Body Requirements include:
 
  1. Assisting with changes in diet.
  2. Monitoring blood glucose.
  3. Providing enteral nutrition.
  4. Feeding the client.

[l.stuut]

Answer to Question 1

3,4
Rationale: Nuchal rigidity, or pain when flexing the neck, is a classic symptom of meningitis resulting from inflammation of the meninges. Positive Kernig's sign is found when the client cannot extend the leg when the hip is flexed at a 90-degree angle. Brudzinski sign, neck flexion causing the knees and hips to flex, would also be positive. Seizures, paralysis, fever, and chills would all be late signs of meningitis.

Answer to Question 2

1
Rationale: The client might need to make diet changes, and the nurse provides client teaching to reinforce the need for the diet.

[swpotter12]

TYSM

[tandmlomax84]

Excellent